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Lorain County Chapter |
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To print the Request Form, click on the "Smiling FILE" below. Once the file has opened you may print this form. There are 2 pages to this form. Both will print when you request a print. When you have completed using the Form, click your "Back" button to return to this page
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size:1.47 M
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1. Request for Funding -----2012 Care Abounds in Communities | |
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| Click on "Smiling File" below for Instructions on completing this form |
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size:44.00 K
Instructions for completing Request for Funding Questionnaire |
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size:71.40 K
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| 2. Permission to Disclose Information - Regular Form - For an Adult |
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If benefits are for an individual, a family, or a group of people, this person(s) has to sign a "Permission to Disclose Information" form. If the person(s) is an adult, click on the following link to get the form. See the above information about a "pdf" file.
When you are done viewing/printing the Form, click your "Back" button several times to return to the home page of Lutherans Online. |
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3. Permission to Disclose Information - Parent/Guardian Form - For a Minor |
size:79.71 K
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If benefits are for an individual, a family, or a group of people, this person(s) has to sign a "Permission to Disclose Information" form. If the person(s) is a minor, click on the following link to get the form. See the above information about a "pdf" file.
When you are done viewing/printing the Form, click your "Back" button several times to return to the home page of Lutherans Online.
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4. Receipts, Funds Raised and Expenses Report |
size:140.00 K
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This form and copies of receipts should be sent to the Chapter Financial DirectorJeremy Krone 440-289-1948 jeremykrone@yahoo.com | |
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Receipts, Funds Raised and Expenses Report |
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